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Primary Viva 45 (Clinical)

Created: 30/9/2020
1. A 40-year-old man on your list has had type 1 diabetes mellitus (DM) since the age 14, is hypertensive and has had a previous failed intubation.
- Discuss the cardiovascular, neurological and gastrointestinal problems associated with diabetes mellitus.
- Discuss the use of the Valsalva manoeuvre in this case.
- Discuss airway assessment in such a patient.
- What method of anaesthesia would you use in this patient?

Critical incident:
- The patient has a fit in recovery.
- Describe your initial assessment and the likely causes.
- Name some other causes of fitting.

2. Ventilation:
- When do we need to ventilate patients apart from in theatre?
- Why would a patient with head injuries need to be ventilated?
- Draw a graph of the effect of PaCO2 on cerebral blood flow.

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